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Washington rates for HCPCS 78803

Rp Loclzj Tum Spect 1 Area/Acquisj 1 Day Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.74 / $92.52 / $178.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.73 / $476.13 / $952.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.85 / $55.74 / $139.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$272.87 / $420.39 / $837.17
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.35 / $79.73 / $96.64
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.59 / $116.00 / $2,533.52
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.16 / $837.33 / $2,348.14
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.91 / $116.58 / $379.76
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$433.82 / $720.75 / $2,034.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.99 / $766.14 / $1,220.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.42 / $104.23 / $163.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$386.57 / $660.57 / $1,057.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.38 / $121.64 / $3,926.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.16 / $823.94 / $1,082.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.38 / $120.52 / $148.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$304.11 / $711.76 / $945.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.85 / $411.17 / $812.22
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.44 / $97.87 / $99.96
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.90 / $857.90 / $857.90
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.16 / $78.00 / $106.46
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$374.38 / $476.25 / $599.96
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.59 / $66.59 / $67.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.05 / $808.84 / $991.98
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.03 / $114.55 / $138.72
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$470.04 / $696.22 / $851.09
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,526.97 / $1,526.97 / $2,533.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.73 / $725.77 / $1,002.46
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.27 / $102.42 / $138.43
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$496.97 / $632.51 / $872.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.60 / $378.23 / $1,009.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.70 / $56.17 / $140.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$256.56 / $325.57 / $924.64